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General NPI Number Information
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NPI Number | 1003658618
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Entity Type | Individual
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Provider Name | PARKER JOENS PT, DPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 06/12/2024
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 3870 STADIUM WAY DEPT 2701
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City | OGDEN
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State | UT
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Zip | 84408-2701
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Country | US
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Telephone | 801-626-7712
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Fax | 801-626-7264
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Provider Business Mailing Address
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Address Line | 3870 STADIUM WAY DEPT 2701
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City | OGDEN
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State | UT
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Zip | 84408-2701
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Country | US
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Telephone | 801-626-7712
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Fax | 801-626-7264
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 6069
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | UT
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